Abstract
The role and importance of distal embolization in complications arising during percutaneous interventions are now considered well established; however, this is a relatively new concept [1]. Early in the evolution of interventional cardiology, distal embolization was not thought to be a significant problem [2,3]. Instead, the mechanism of dilatation was conceptualized as analogous to “stepping onto a layer of snow,” which was then compressed, with the procedure leading to larger lumen size without injuring the wall itself and without embolization.
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References
Topol EJ, Yadav JS: Recognition of the importance of embolization in atherosclerotic vascular disease. Circulation 2000, 101:570–580.
Colavita PG, Ideker RE, Reimer KA, et al.: The spectrum of pathology associated with percutaneous transluminal coronary angioplasty during acute myocardial infarction. J Am Coll Cardiol 1986, 8:855–860.
de Morais CF, Lopez EA, Checchi H, et al.: Percutaneous transluminal coronary angioplasty: histopathological analysis of nine necropsy cases. Virchows Arch (A) 1986, 410:195–202.
Saber RS, Edwards WD, Holmes DR, et al.: Balloon angioplasty of aorto-coronary saphenous vein bypass grafts: a histopathologic study of six grafts from five patients, with emphasis on restenosis and embolic complications. J Am Coll Cardiol 1988, 12:1501–1509.
Saber RS, Edwards WD, Bailey KR, et al.: Coronary embolization after balloon angioplasty and thrombolytic therapy: an autopsy study of 32 cases. J Am Coll Cardiol 1993, 22:1283–1288.
Kong TQ, Davidson CJ, Meyers SN, et al.: Prognostic implication of creatine kinase elevation following elective coronary artery interventions. JAMA 1997, 277:461–466.
Abdelmeguid AE, Ellis SG, Sapp SK, et al.: Defining the appropriate threshold of creatine kinase elevation after percutaneous coronary interventions. Am Heart J 1996, 131:1097–1105.
Califf RM, Abdelmeguid AE, Kuntz RE, et al.: Myonecrosis after revascularization procedures. J Am Coll Cardiol 1998, 31:241–251.
Holmes DR Jr, Berger PB: Troponisms, necrosettes, enzyme leaks, creatine Phosphokinase bumps, and infarctlets: What’s behind this new lexicon and what does it add? Circulation 2001, 104:627–629.
Farb A, Roberts DK, Pichard AD, et al.: Coronary artery morphologic features after coronary rotational atherectomy: insights into mechanisms of lumen enlargement and embolization. Am Heart J 1995, 129:1058–1067.
Bhatt DL, Topol EJ: Periprocedural myocardial infarction and emboli protection. In Textbook of Interventional Cardiology. Philadelphia: WB Saunders; 2003:251–266.
Frink RJ, Ostrach LH, Rooney PA, Rose J: Coronary thrombosis, ulcerated athersclerotic plaques and platelet/fibrin microemboli in patients dying with acute coronary disease: a large autopsy study. J Clin Invest 1990, 2:199–210.
Piana RN, Paik GY, Moscucci M, et al.: Incidence and treatment of ‘no-reflow’ after percutaneous coronary intervention. Circulation 1994, 89:2514–2518.
Ito H, Maruyama A, Iwakura K, et al.: Clinical implications of the ‘no reflow’ phenomenon: a predictor of complications and left ventricular remodeling in reperfused anterior wall myocardial infarction. Circulation 1996, 93:223–228.
Gibson CM, Cannon CP, Murphy SA, et al.: Relationship of TIMI myocardial perfusion grades, flow grades, frame count, and percutaneous coronary intervention to long-term outcomes after thrombolytic administration in acute myocardial infarction. Circulation 2002, 105:1909–1913.
Gibson CM, Cannon CP, Daley WL, et al.: TIMI frame count: a quantitative method of assessing coronary artery flow. Circulation 1996, 93:879–888.
Koch KC, von Dahl J, Kleinhans E, et al.: Influence of a platelet GP IIIb/IIIa receptor antagonist on myocardial hypoperfusion during rotational atherectomy as assessed by myocardial Tc-99m sestambi scintigraphy. J Am Coll Cardiol 1999, 33:998–1004.
Ricciardi MJ, Wu E, Davidson CJ, et al.: Visualization of discrete microinfarction after percutaneous coronary intervention associated with mild creatine kinase-MB elevation. Circulation 2001, 103:2780–2783.
Webb JG, Carere RG, Virmani R, et al.: Retrieval and analysis of particulate debris after saphenous vein graft intervention. J Am Coll Cardiol 1999, 34:468–475.
Bairn DS, Wahr D, George B, et al.: Randomized trial of a distal embolic protection device during percutaneous intervention of saphenous vein aorto-coronary bypass grafts. Circulation 2002, 105:1285–1290.
Steve GW, Rogers C, Ramee S, et al.: Distal filter protection during saphenous vein graft stenting: technical and clinical correlation of effusion. J Am Coll Cardiol 2002, 40:1882–1888.
Grube E, Gerckens U, Young A, et al.: Prevention of distal embolization during coronary angioplasty in saphenous vein grafts and native vessels using porous filter protection. Circulation 2001, 104:2436–2441.
Reimers B, Corvaja N, Moshiri S, et al.: Cerebral protection with filter devices during carotid artery stenting. Circulation 2001, 104:12–15.
Yadav, J et al.: SAPPHIRE Study of Angioplasty with Distal Protection in Patients at High Risk for Endarterectomy, Late Breaking Clinical Trial, AHA 2002.
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Holmes, D.R. (2003). Distal Protection Devices. In: Holmes, D.R., Mathew, V. (eds) Atlas of Interventional Cardiology. Current Medicine Group, London. https://doi.org/10.1007/978-1-4613-1091-4_12
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DOI: https://doi.org/10.1007/978-1-4613-1091-4_12
Publisher Name: Current Medicine Group, London
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